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DEPARTURE
Online Driver's Inspection Report Form
Links to kinds of Form:
Departure
:::
Arrival
Departure - Online Truck Driver's Report
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Indicates required field
Date and Time (Ex. Feb. 1, 2015 at 8:00 a.m.)
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Name of Driver
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First
Last
Vehicle Type & Plate No. (Ex: Trailer Truck - ABC 8989)
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Name of Project:
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Purpose of travel
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Place of Departure
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Time of Departure
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Destination:
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INSPECTION DETAILS before departure.
A. Gas Level Content. (Use Standard Stick Measurement)
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# 1 (100%) Full Tank
# 2 (80%)
# 3 (60%)
# 4 (40%)
# 5 (20%)
# 6 (10%)
B: CONDITION OF TIRES - Starting from left driver’s side Front wheels:
Tire # 1
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Select Option
Brand New
Good
Fair
Bad
Tire # 2
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Select Option
Brand New
Good
Fair
Bad
Tire # 3
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Select Option
Brand New
Good
Fair
Bad
Tire # 4
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Select Option
Brand New
Good
Fair
Bad
Tire # 5
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Select Option
Brand New
Good
Fair
Bad
Tire # 6
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Select Option
Brand New
Good
Fair
Bad
Tire # 7
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Select Option
Brand New
Good
Fair
Bad
Tire # 8
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Select Option
Brand New
Good
Fair
Bad
Tire # 9
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Select Option
Brand New
Good
Fair
Bad
Tire # 10
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Select Option
Brand New
Good
Fair
Bad
Tire # 11
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Select Option
Brand New
Good
Fair
Bad
Tire # 12
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Select Option
Brand New
Good
Fair
Bad
Remarks / other details
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Inspection Report prepared and submmitted by:
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Submit